A medical practitioner licensed in Canada completes this form when a patient applying for Canadian citizenship asks IRCC to waive the language and knowledge (citizenship test) requirements, the oath, or both, because of a severe and prolonged medical condition. Eligibility turns on the severity, duration (1 year or more) and functional impact of the impairment, not on the diagnosis itself.
The attending practitioner (a GP or family physician, other physician specialist, psychologist or nurse practitioner) completes Section A (language and knowledge), Section B (oath), Section C (general comments) and the identification and certification block. The patient or their representative signs the authorization to release the information to IRCC.
Download the current version from the source each time; forms change without notice.
Medical Opinion Form for Citizenship Waivers
Formulaire d'avis médical : dispenses relatives à la citoyenneté
Upload the fillable PDF once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
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A medical practitioner licensed to practise in Canada. The certification block lets the attending practitioner identify as a general practice or family physician (CCFP), other physician specialist, psychologist or nurse practitioner, and asks when they became the patient's practitioner and how many visits occurred in the past 12 months.
Yes. IRCC publishes it in English and French (CIT 0547 F), last updated May 2024. IRCC asks users to download the fillable PDF to a computer and open it in Adobe Acrobat Reader version 10 or higher, because it may not open on tablets or phones.
Eligibility depends on the severity of the impairment, its duration and its impact on functional abilities, not on the type of condition. The form asks for the diagnosis with onset dates, the basis of the assessment, how the condition prevents basic communication or test study, treatment, expected duration and effects on daily living.